Umbilical Cord Care and Infection Rates in Turkey

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Abstract

Objective:

To compare the efficacy of umbilical cord sponging with 70% alcohol, sponging with 10% povidone–iodine, and dry care on the time to umbilical cord separation and bacterial colonization.

Design:

Prospective, interventional experimental study design.

Setting:

Three different family health centers in Istanbul, Turkey.

Participants:

In total, 194 newborns were enrolled in one of three study groups: Group 1, 70% alcohol (n = 67); Group 2, 10% povidone–iodine (n = 62); and Group 3, dry care (n = 65).

Methods:

Data were collected between January 2015 and July 2015. Umbilical separation time and umbilical cord bacterial colonization were considered as the study outcomes.

Results:

The most commonly isolated bacteria were Staphylococcus aureus, Escherichia coli, and enterococci. There was no significant difference among the groups for umbilical cord separation times (p > .05).

Conclusion:

Dry care may be perceived as an attractive option because of cost benefits and ease of application.

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